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Hawaii rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.43 / $2,747.00 / $6,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.04 / $889.97 / $3,458.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.74 / $1,749.74 / $1,749.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.61 / $1,172.50 / $2,198.36
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.14 / $1,387.72 / $1,671.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.28 / $1,125.59 / $1,313.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.05 / $1,172.50 / $1,535.06
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.18 / $3,692.19 / $9,324.00